Presentation at World of Health IT

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Visibility of Persons, Materials and Blood Products with RFID

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Presentation at World of Health IT

  1. 1. RFID in Health Care October 22, 2007 Visibility of Persons, Materials, and Blood Products with RFID Results from a Large-scale RFID Pilot in the Operating Room of the AMC What is Radio Frequency Identification (RFID) Passive RFID Active RFID Wakeup | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 1
  2. 2. RFID in Health Care October 22, 2007 Demonstrate the added value of RFID in Healthcare to verify the proposed added value of RFID in healthcare to gain experience: what hurdles in standards, technology, processes and people to showcase the technology and thus further the adoption through sharing our lessons learned By request of the Ministry of Health, Welfare and Sports | RFID in Healthcare Academic Medical Center University of Amsterdam | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 2
  3. 3. RFID in Health Care October 22, 2007 | RFID in Healthcare 7124 Employees (2005) Scientific Research AMR B.V. 5% 9% Medical Other 17% 31% Care Other 20% (para)medic 18% | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 3
  4. 4. RFID in Health Care October 22, 2007 Processes | RFID in Healthcare What value added did we recognize around the world ? The AMC Pilots 0% 5% 10% 15% 20% 25% 30% 35% Increased Patient Safety Process Improvements Efficiency Gains / Cost Reduction Regulatory Compliance Safety and Security From: our desk-research on 67 individual cases of RFID in Healthcare worldwide | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 4
  5. 5. RFID in Health Care October 22, 2007 Person and Patient Logistics in the OR Recovery Intensive Room Care Ward Operating Room | RFID in Healthcare Operating room data issues Comparison of scheduled and actual OR utilization reflects the effectiveness of the (advanced) scheduling processes (Rotondi, 1997) Can we collect correct data needed for scheduling, faster and easier through RFID? | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 5
  6. 6. RFID in Health Care October 22, 2007 Schematic overview of Patient process supported by RFID Holding Area Ward / ICU* Ward // ICU* Ward ICU* Transport Transport Transport Transport Transport Transport Transport Transport PACU** Surgery PACU** Surgery 1 2 3 4 5 6 7 8 Timestamps 1. Patient enters Holding Area 2. Patient leaves Holding Area 3. Patient enters Anesthesia induction room 4. Patient leaves Anesthesia induction room / enters OR Clinical Activity 5. Patient leaves OR / enters Anesthesia room 6. Patient leaves Anesthesia room Transport 7. Patient leaves OR-complex to ICU / enters PACU *ICU = Intensive Care Unit 8. Patient leaves PACU **PACU = Post Anesthesia Care Unit | RFID in Healthcare Data collected for tracking & tracing of patients 155 patients received a tag at the ward 82 patients have a complete set of timestamps Detailed and advanced data analysis in progress Average times • Holding time: 43 minutes • Transport time to OR: 1 minute and 7 seconds • OR time: 4 hours and 31 minutes • PACU time: 4 hours and 22 minutes (n=43) Current OR time registration > 7 minutes above RFID time | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 6
  7. 7. RFID in Health Care October 22, 2007 Operating Room Materials Unit Logistics Storage Centre Operating Room Garbage Disposal | RFID in Healthcare Issues with materials and passive RFID Standard EPCglobal Gen2 at 868 MHz could not be used inside the AMC OR, due to interference Routing of garbage was ambiguous due to reconstruction work: lot of missing data | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 7
  8. 8. RFID in Health Care October 22, 2007 Data collected for materials 122 unique articles scanned 85 registered as used Average number of times articles are scanned: 3.4 Etc. 8% Returns 50% 50% Returns OR OR 42% Garbage 50% Garbage | RFID in Healthcare Blood Products Tranfusion Intensive Laboratory Care Operating Room Stop Bucket | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 8
  9. 9. RFID in Health Care October 22, 2007 Data collected for blood products 233 blood products were connected to an RFID tag 141 blood products have a complete set of timestamps Other 92 products have an incomplete data set, probably caused by interference between tags 53 blood products have been transfused • 21 in OR1, 15 in OR2, and 17 in ICU 88 have been returned to the lab 8 have been re-used with RFID | RFID in Healthcare Experience gained through these pilots Standards • Passive and Active technology differences Technology • Interference with medical equipment Processes • Careful process design and elaborate procedures People • “Big brother is watching you” • Need to educate, also through peers | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 9
  10. 10. RFID in Health Care October 22, 2007 Showcase the technology! | RFID in Healthcare Location Matters | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 10
  11. 11. RFID in Health Care October 22, 2007 Real-time visibility | RFID in Healthcare Path | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 11
  12. 12. RFID in Health Care October 22, 2007 Alert | RFID in Healthcare Counts | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 12
  13. 13. RFID in Health Care October 22, 2007 3D | RFID in Healthcare Location, Identification, Status | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 13
  14. 14. RFID in Health Care October 22, 2007 Technology components Advise and design services 0 Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces 1 Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags 2 Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software 3 Software that ingests identification and location information and implements the business logic. Integration and managed services 4 Integration with legacy systems and maintenance of the overall mission critical system. | RFID in Healthcare Implementation | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 14
  15. 15. RFID in Health Care October 22, 2007 Sensor Network Wakeup Unit Antenna Reader Antenna Wakeup Unit ID tag & ID Wakeup Unit & Temp at 868 MHz (UHF) ID Wakeup Unit at 125 KHz (LF) Temperature LAN Wakeup Field | RFID in Healthcare Movida for blood tracking Active (black) tag Data-unit for active tags Blood badg Scanning plate for passive tags Barcode scanner Passive (white) tag tags back of tags | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 15
  16. 16. RFID in Health Care October 22, 2007 | RFID in Healthcare | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 16
  17. 17. RFID in Health Care October 22, 2007 | RFID in Healthcare | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 17
  18. 18. RFID in Health Care October 22, 2007 Investigating the Benefits of RFID in Healthcare Betrouwbare vastlegging OK team voorzien van van tijden en # Beter inzicht in # in- en Verkleinen infectiegevaar tags personeel uitloop OK Meer identificatie- Voorkomen van zekerheid patiënt verwisselingen Patiënten voorzien van tags Waarschuwing bij Voorkomen van fouten in onjuiste koppeling toediening bloed patiënt en bloedzak Bloed voorzien van tags Zekerheid over aantal % transfusie verondersteld getrans-fundeerd naar beneden Meer zekerheid over Voldoen aan wettelijke temperatuur-verloop en verplichtingen kwaliteit bloed Continue volgen van Minder risico op bloed mogelijk (locatie ongewenste incidenten - en temp.) minder imagoschade & minder kosten claims Recalls van mat. en bloed Verhoging van beter kunnen uitvoeren patiëntveiligheid Betere locatiebepaling Minder misgrijpen op OK materiaal Disposables en Beter inzicht in THT Minder risico op implantaten voorzien datum materialen infectiegevaar patiënt van tags | RFID in Healthcare An initial business case Assumptions • Tags for materials and blood products already provided by suppliers • Full-scale implementation with process improvements Benefit logic • If we can X, then we can Y, leading (eventually) to Z Not scientific research but economic analysis | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 18
  19. 19. RFID in Health Care October 22, 2007 Identified benefits Only three sound benefits could be quantified • Optimization of materials flow • Reduced waste in blood products • Reduced paperwork in transfusion laboratory Important qualitative benefits • Patient safety through (cross-)identification • Increased process insight to improve logistics • Enables activity-based costing for surgeries | RFID in Healthcare An average Dutch hospital turns a profit in the 3rd year Results Business Case Analysis Resultaten Business Case 2.000.000 1.500.000 1.000.000 Waarde Value Benefits Cum Baten 500.000 Costs Cum Uitgaven Cum Cashflow Net Kasstroom 0 1 2 3 4 5 6 -500.000 -1.000.000 Year Jaar | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 19
  20. 20. RFID in Health Care October 22, 2007 All depends on the local situation Benefits may vary across hospitals Other choices can be made in technology Returns need to be captured explicitly | RFID in Healthcare Take-aways from this session RFID can bring completely new insights • if designed with the clinical process in mind RFID can contribute to patient safety • when combined with further research RFID can be applied in a high-tech environment • if designed around interference with medical equipment RFID is not an off-the-shelf application • but a business case can provide a rapid profit | RFID in Healthcare Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 20
  21. 21. RFID in Health Care October 22, 2007 robert.stegwee@capgemini.com www.health-rfid.com Presentation at World of Health IT Robert A. Stegwee, © Capgemini Nederland B.V. 21

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